Bennet, Kenneth G

Bennet, Kenneth G is an sole proprietor health care provider with primary practice located at 155 E Brush Hill Rd Elmhurst Memorial Hospital, Elmhurst IL 60126-5658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Bennet, Kenneth G can be contacted via phone (630) 941-4562.

Contact Information

Primary practice address
155 E Brush Hill Rd Elmhurst Memorial Hospital Elmhurst IL 60126-5658
Phone: (630) 941-4562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 36116708 Illinois

Profile Details

NPI number 1396855185
LBN Legal business name Bennet, Kenneth G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396855185 NPPES
Illinois Other 0002233091 BLUE SHIELD PROVIDER
Illinois MEDICAID 036116708 BLUE SHIELD PROVIDER

Popular Providers